HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT NnUN[BER, ................ ,�,�;r.� .�•..=...
Installer J�C �►�'� �`� �� License #
Address of home
being Installed
Manufaciurer �� Length x width 4F �%� S r
NOTM 'It home Is a single wide fill out one half of the blocking plan
1f home is a triple or quad wide sketch In remalnder'of home
I understand Laieral Arm Systems cannot be used on any home (new or used)
where the sidewall ties exceed 5 ft 4 in:
installer's initials M •�.
Typical pier spacing
'r 4 f / I lateral
locationsShow -1 and Lateral Systems
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PERMIT WOR9valecounty
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I page 1 of 2 I
New Home ❑ Used Home [tY
Home installed to the Manufacturer's Installation Manual []
Home is installed in accordance with Rule 15-0 1!d
Single wide ❑ nd Zone II Wind Zone I11 ❑
Double wide In Decal �� 9
Triple/Quad ❑ Serial 7r 4A Ll 9 C /Q
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
Footer
size
(sq In)
16' X 16'
(256)
18 112' X 18 112'
(342)
20' X 2D'
(400)
22' x 22 •
(484)•
24' X Z4'
(576)`
26' X 26'
(676)
1000 s
3
1500 ost
4 6
6
$
000 pst
61
8
8
2500 pst
7' 6
8
8a,g
"3000 —
8
g
3 00 s
8 • '
8
rmtirpuiaawu rrum rzue pier spamgq caure.
PIER PAD SIZES
1-bsam pier pad size 12 7' ye 22-
Perimeter pier pad size /7"1 X aari
Other pier pad sizes
(required by the mfq.)
FMDraw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
POPULAR PAD SIZES
- • '
EYI■NEW
.
1•
■ jc �
t�I�I'isie�
• � �
1�7L/
m Wstal4marriage wall openings greater than 4 foot
2Z ggff¢ir pier pad sizes below.
S 0)
ANCHORS
m c,
m o °° 9pening Pier pad -.size
4ft /5ft
0Wz r
rn M
c r�
D rn O z'
FRAME TIES
z a
v - r- / 2
within 2' of end of home
spaced at 5' 4" oc
oz
o n ' o TIEDOWN COMPONENTS
OTHER TIES
n --' M"U
ifiludInal Stab111z1DevIcLSDJ
Number
Sidewall
acturer_. e c-7 m✓
Longitudinal
tudlnal Stab111z�ri Devlce�Lateral Arni sArni s.
Marriage wall
aracturer_�y L a=!
PERMIT NUMBED
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• ca 10?:x\t`r;:a.\ vancirYC`d�>a'�„�'•%-ter.
POCKET PENETROMETER TEST
The pocket penetrometer tests are rounded vn to psf
or check hereto declare 1000 lb. soil V without testing.
X X X
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the horhe at 6 locations.
2. Take the reading at the depth of the.footer.
S. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X X
X
TORQUE PROBE TEST
The results of the torque probe test is inch pounds or check
here if you -are declaring-V anchors wi out testing_ . A test
showing 275 inch pounds or less will require 5 foot anchors.
Note: A state approved lateral arm system is being used and 4 ft.
.anchors are allowed at -the sidewall locations. 1 understand 5 ft
anchors are required at all centerline tie points where the torque test
reading is 275. or less and where the mobile dome manufacturer may
requires anchors with 40D Ibing capacity.
G Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name-Q-/A--e �-e 4.4 l�
Date Tesfed
Electrical
lbnnect electrical conductors between multi -wide units, but not to the main power
ource. This•includes the bonding wire between mutt -wide units. Pg.
Plumbing lil-P F
;onnect all sewer drains to an existing sewer tap or septic tank. Pg.
onnect all potable water supply piping to an existing water meter, water tap, or other
(dependent water supply systems. Pg.
PERMIT WORKSHEET 1 page 2 of 2 I
Site Preparation
Debris and organic material remo ad
Water drainage: Natural wale Pad Other
Fastening multl wide units
��f $of
Floor. Type Fastener. � - Length: � Spacing: •
Walls: Type Fastener. Length:Spacing: 19_T
Roof: Type Fastener. ' Length: Spacing: SP
For -used homesa in. 3D gauge, 8" wide, galvanized metal strip
will be centered over the peak of the -roof and fastened With gals.
roofing nails at 2" on center on both sides of the centerline.
Gasket (w—therprooling "ulrmnent) -
I understand a properly installed gasket Is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result of a poorly installed or no gasket being installed. 1 understand a strip-
of tape will not serve as a gasket.
installer's initials z
Type gasket Installed:
Pg. // Between Floors Yes
Between Walls Yes
�A.. Bottom of ridgebeam Yes 4---
Weatherproofing
The bottomboard will be repaired and/or taped. Yes
Siding on units is installed to manufacturer's specifications. Yes
Fireplace chimney installed so as not to allow intrusion of rain water. Yes,
Miscellaneous
Skirting to be installed. Yesy No
Dryervent installed outside of skirting. Yes ��WA
Range downflow vent installed' outside of skirting. Yes =—WA
Drain lines supported at 4 foot intervals. Yes
Electrical crossovers protected. Yes
Other:
installer verifies all information given with this permit Worksheet
is accurate and true based on the
installer Signature
Date /8'